Essentials for Living: Functional Skill Assessments/Curricula - - PDF document

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Essentials for Living: Functional Skill Assessments/Curricula Overview

Vincent J. Carbone Presentation Developed by: Carbone Clinic Gina Tirri., M.S. Ed., BCBA, NYS LBA & Annie Culianos, LCSW University of Salerno Salerno, Italy January 2017

OVERVIEW

• Essential for Living

– Overview of the Curricula – Completing an Assessment – Goal Selection – IEP Develop/Revision – Data Collection – Program Implementation & Teaching

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Why a Functional Skills Curriculum?

• We have seen an increase in demands for help in the older

learner/ adult population

• Today we would like to review some of these changes,

discuss rationale and additional assessment tools that may assist you in making these changes

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Why is it important to look at other skills as students become young adults?

• Many of the older student population you serve may

have limited opportunities after they leave school

• The goal is that many of these students can live an

independent life, hold a job, maintain friendships, and take care of themselves as it relates to personal hygiene and care.

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The Reality……..

• However, many of the our students will fall short in one or

more of these areas and it is crucial for us to begin to specifically target some of these areas to program for the best outcome.

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Let’s think about long-term goals and long-term placement for some of our students.

• Can they hold a paying job in which they perform the

expected tasks with very little modifications?

• Will they be attending a day hab?
• Will they be living at home after 21? In a group home or

residential setting?

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• Unfortunately changes in OPWDD regulations and funding

has changed the face of what adult services will look like for many of our students –Sheltered workshops –Day Habilitation Programs –Job Coaching –Group Home Living

Some important points to consider……………

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Can our students hold a paying job in which they perform the expected tasks with very little modifications?

• Can the student wait?

– Other staff may not finish their jobs at the same time; can the student wait for their colleagues to finish?

• Can the student follow multiple step directions – without

assistance? – Many of the job tasks may require following multiple steps, in addition, new tasks will be introduced without the precise teaching and prompting that has been provided in the past.

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Job Placement – points to consider…

• Can the student work for delayed reinforcement?

– Completing jobs and tasks may take a significant amount

• f time, can the student stay on task and tolerate working

for a long period of time before a break?

• Can the student receive feedback and “constructive

criticism” from supervisors or other job coaches? – Many of our students are accustomed to hearing feedback from the school staff, however they may not be used to getting feedback from other adults. In an off- campus job, most of the coaching and feedback will come from a site supervisor or boss.

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Day Programs - points to consider…

• Can the student tolerate changes in the schedule?

– Schedule changes/staffing change will occur at some point at most programs, can the student “go with the flow?”

• Can the student able to request assistance when

needed?

– Asking for help to find a location, zippering a jacket, warming up food

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Day Program - points to consider…

• Can the student complete activities of daily living?

– Can they use the bathroom independently? Wash their hands?

• Can the student follow directions while out in the

community?

– Are they able to stay with a group, follow directions to cross the street, wait, stop? – Most day program staff-to-participant ratios are much leaner than school ratios

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Day program- points to consider…

• Does the student have any self-stimulatory behavior that

interferes with task completion or is disruptive to other staff? – Does the student engage in stereotypies that prevent them from completing tasks or is disruptive to other students that prevents or delays them from completing tasks or integrating into the community?

• Can student tolerate people around him, loud noises, and some

general commotion? – Many job sites have “lots going on”, e.g. people talking loudly, radios playing, machinery, etc… would this upset the student or prevent them from completing the job?

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As we think thru some of these issues, what can we do as educators to arrange for the best

• utcome for each of our students?
• Many of these students will be spending a great deal of time at

home or a day hab center or possibly job sites. We must optimize this teaching time to teach independence leading to less reliance

• n adults and caregivers.
• A few of the many possibilities…
• Teach greater independence in hygiene and daily living activities
• Teach them to access reinforcers through manding/social

interactions

• Teach them to contact reinforcement through leisure activities that

they can independently access on their own- including meal preparation

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Understanding the Essential for Living: A Communication, Behavior and Functional Skills Assessment, Curriculum and Teaching Manual

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Essentials For Living (EFL)

• This is for both children and adults with moderate to severe
• disabilities. What age children?
• Based on the basic principles of Applied Behavior Analysis and

Skinner’s analysis of verbal behavior (listening and speaking skills)

• While there are other good assessments and curriculums for

students with moderate to severe disabilities such as:

• The Syracuse Community-Referenced Curriculum Guide for Students with Moderate

to Severe Disabilities (Ford et al., 1989)

• A Functional Curriculum for Teaching Students with Disabilities (Valletutti et al., 2008)
• This is the only instrument that is based on the concepts,

principles and procedures of ABA and includes speaking and listening skills based on Skinners analysis of verbal behavior (Skinner 1957)

• It is both as assessment and curriculum
• It identifies current level of performance (within each area in the

assessment)

• Leads to development of goals and objectives for IEP’s or ISP’s
• Can track skills over time similar to the ABLLS and VB-MAPP

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What It is NOT

• It is not a developmental assessment
• It is not based on age or grade levels
• Skills are not in order of development
• The VB-MAPP is composed of skills arranged in a

sequence in which typically-developing learners generally acquire

• Skills form the VB-MAPP are not functional – they are

developmental

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It is…….

• It is, “composed of functional skills and behaviors, which are

essential for effective daily living and which result in an improved quality of life for children and adults” McGreevy

• Focus on:

–Skills and behaviors which are required in other settings –Skills and behaviors which are taught in circumstances similar to those which occur in those settings –In the absence of which, learners would require the assistance of other persons or –Which result in increased access to preferred items, activities, places and people

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When Do I Choose This?

• Young children ages 2-6
• Developmental delays
• Have delays primarily in ABLLS-R / VB-MAPP

language and social skills

• Young children ages 2 and older
• Significant global delays
• Specific syndromes
• Have limited language Essentials for Living
• Hearing, vision or orthopedic impairments
• Medical conditions
• Children ages 7-8 who are making steady progress in VB-MAPP ABLLS-RVB-MAPP
• Children ages 7-8 who are making very little or no progress Find a skilled consultant in Skinner’s

Analysis of Verbal Behavior and with considerable training in Applied behavior Analysis

• Children 9-10 and older
• Have difficulty answering questions or participating in conversations Essentials for Living
• Have not acquired academic skills at a first or second grade level

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Developmental Skills from the VB-MAPP and Functional Skills from the Essential for Living (Table 1)

Developmental Skills from the ABLLS-R / VB-MAPP Functional Skills from the Essential for Living Makes requests with three different carrier phrases Makes a request for assistance with menstruation or locating a restroom Looks for an item that has fallen

• ut of sight

Retrieves a wash cloth from a linen closet Matches identical items or pictures in a neat array of three Takes clothes out of a dryer, matches socks and folds socks Touches one of two body parts when directed to do so Retrieves items and participates in activities that are part of snack or break time (e.g. plate, napkin, pouring juice, table, trash can, and throwing away trash) Completes out of context fill-in-the blank phrases Provides name and address when asked to do so Uses irregular plurals correctly Makes requests that include two same item, two items, or an item with a feature (e.g. two cookies, juice and cookies or strawberry yogurt

What are the Assessment Domains Based

• n?
• In order to create goals and objectives, first we must

understand how children and adults interact with the world around them

• Speaking and Listening to the world around us

– How do we use language to communicate with others and we respond to

• thers
• Doing things in the world around us

– Completing activities when situations occur

• Tolerating the world around us

– Can or how well does a person tolerate being in unpleasant situations and what is their ability to resist engaging in problem behavior “egg-shells”

• Tool Movements in the world around us

– Basic motor movements, matching and imitation

• Inappropriate Behavior in the world around us

– Is the person harmful or disruptive in certain environments

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Domains of the EFL

• Speaking and Listening

1. Requests and Related Listener Responses 2. Listener Responses, Names and Descriptions 3. Answers to Questions and Conversations

• Doing
• 4. Daily Living and Related Activities
• 5. Functional Academic Skills

» Responding to Text as a Listener and Reading » Schedules, Lists and Time » Math Skills » Writing or typing Skills

• Tolerating
• 6. Tolerating Skills and Eggshells
• Tool Movements
• 7. Tool Skills and Component Skills
• Inappropriate Behaviors

Problem Behaviors

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Sequence of Domains

• Within each domain the skills are arranged from less to

more difficult and more to less functional.

• For example in Skill Domain Requests and Related

Responses (R)

» R 66 Makes requests to be warmer or cooler » R 47 Requests for assistance during menstruation » R 45 Makes requests from peers » R 33 Makes 2nd and 3rd request after initial request was ignored » R 28 Says Thank you after making request » R 24 Looks towards audience to make a generalized request » R10 Accepts removal to preferred items » R9 Waits after making requests for increasing time periods » R8 Requests the opportunity to entertain themselves » R1-7 Make requests for preferred items More Difficult More Functional Less Functional Less Difficult

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Sequence Continued

Less Difficult & Less Functional & More Functional More Difficult Categorized as….. “must have” “should have” “good to have” “nice to have”

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EFL Domains Further Explained

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13 EFL Domains:

• 1. Requests and Related Listener Responses (R)
• Requests/Mands – allows learner to access items,

activities, people they want or need.

– Saying words, signing, selecting pictures, typing, writing, Signs “cookie” gets cookie

• Related listener responses - after a request is made, can

the learner:

– Wait: Can they wait for the desired item? – Accepting removals, transitions, taking turns – Completing previously acquired tasks: can the learner perform tasks when told to do so – Accepting “No”: what is the item they want isn’t available?

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EFL Domains:

• 1. Requests and Related Listener Responses (R)
• Examples of Requests:

– Must Have:

• R7 – can the learner request a variety of items they want or need
• R16 – accepts “no” after making a request and item is not available

– Should Have:

• R23 – makes requests for highly preferred food, drinks, non-food items,

activities that cannot be made either frequently or immediately available

– Good-to-have:

• R50 – makes a generalized request for acknowledgment (attention – “Hi”, “Ms”,

“Excuse me”

• R73 – makes requests that require 2 words, signs or pictures

– Nice-to-have:

• R80 – makes requests that require 3 key words or signs along with carrier

phrases (“I want…”, “Can I have…”) and connecting words (“on”, behind”, “in”)

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14 EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

• Listener Responses:

– Allows learners to do what others ask them to do

• Includes:

– Following directions related to safety

• “Walk with me”, “wait here”, “stop running”, “put your seatbelt on”

– Following directions related to routine activities

• “Put on your shoes”, “throw away the garbage”, “wash your hands”

– Recognizing

• “where is the flour”, “find the bowl”, “which one is the green book?”

– Retrieving and Relocating

• “Hand me the bowl”, “get two green glasses”, “Take Mrs. Smith to the

kitchen area”

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• Names and Descriptions (Tacts)

– Allows learners to talk about items, familiar persons, places and activities they encounter or that are occurring in the environment. – Examples:

• Item: sees a spoon and says “spoon”
• Hears a familiar voice and signs name of the person
• Describing a feature of an item: sees a white ball and types “white ball”
• Describing sensations: points to stomach and says “hurt”
• Naming feelings: someone signs “mad” after spilling their beverage

– How is this different than a request/mand?

• Learner does NOT want the item and/or does not get the item after naming or

describing it

• Commenting

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EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

15 EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

• Routine Events (Good-to-have)

– Targeting specific requesting skills, listener responses, names and descriptions within the context of naturally

• ccurring routines

– Natural Environment Teaching – During a normally occurring routine, can the learner:

• Mand for items they need or want?
• Follow directions to complete part of the routine or the entire routine
• Be able to recognize items, people, activities in the routine
• Be able to retrieve and relocate items or people needed to complete or

part of routine

• Talk about parts of the routine (name and describe)

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EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

• Example – Snack Routine

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Target Example Requesting – “spoon” (preferred item) When the student wants to eat cereal, will they ask for a spoon? Recognize – “juice” When all breakfast items are on the table and ask the student “which one is the juice?” Retrieve and Relocate (following directions) Student follows directions to go to the cabinet and get a cup (retrieve) and bring it back to the table (relocate) Naming Point to the cup and ask the student “what’s this?” Describing When student is wiping their mouth after eating, ask the student “what are you doing”

16 EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

• Routine Events Continued

– First Time Around – Second Time Around – Third Time Around – Each “time around” = more difficult skills

• Same routine, more skills

(remember less functional, more difficult)

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EFL Domains:

• 2. Listener Responses, Names and

Descriptions (LR, LRND)

• Routine Events – “Times Around”

– What do I target in each time around? – We are focusing on requesting, recognizing, retrieving and relocating, name and describing the following (when applicable):

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First Time Around Second Time Around Third Time Around Preferred item (2) Item (1 more) Location (2) – rec, name and describe Other items (3) Activity (1 more) 2 items at one time Activity Familiar Person (2) 2 or more of the same item Place (2)

• rec, name and describe

One item with a feature One item with 2 features 2 Items with a feature Items to AND from Place/Location Person from AND to Place/Location

17 EFL Domains:

• 3. Answers to Questions (AQ) and Conversations (C)
• Allows learners to respond to requests of others for

information

– Answering questions related to requests or information

• These are good-to have and nice-to-have skills

– Learners should have a large repertoire of requests and large repertoire of names and descriptions – Translation: Teach requests and listener responses first! – Examples:

• What do you want to drink?
• Where are your socks and shoes?
• When did you watch the movie?
• Where do you live?

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EFL Domains:

• 3. Answers to Questions (AQ) and Conversations (C)
• Answers to Questions should be taught in the context
• f routine events (intraverbals)

– Think back to the “Events” section

• Let’s look at the snack routine again

– What do you want to eat? - Cheerios – What do you need?

• spoon

– What do you need to do?

• wipe my mouth
• Remember – this comes AFTER a learner can make

requests and follow directions within the context of routine events

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18 EFL Domains:

• 4. Daily Living Skills and Related Skills (DLS)
• The most functional skills – being able to do something

with as little assistance as possible

• Range from must have skills to good to have skills

Learner encounters a situation that requires a response Learner exhibits part of all of that response Learner receives a form of social approval or experiences completion of a task

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EFL Domains:

• 4. Daily Living Skills and Related Skills / Doing Skills (DLS)

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• Must Haves

– Eating, drinking, feeding, mobility, sleeping, avoiding harmful substances

• Should Have

– Toileting, eating, drinking, feeding, medical procedures, mobility, personal hygiene, dressing, leisure activities, school and instruction activities, vocational skills –

• Good to Have

– Leisure activities in the community, laundry, cleaning, using a phone, preparing food

19 EFL Domains:

• 5. Functional Academic Skills

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• Not in the Quick Assessment

– However it is important to target functional academic skills in a school setting

• Comprised of several sections:

– Responding to text as a listener (think sight words) – Reading – Schedules, Lists and Time – Math – Writing or Typing Skills

• “Good to have” and “Nice to have skills”

Functional Academics: Responding to Text as a Listener

• Learner sees a word and selects an item, picture or

performs a corresponding task in response to seeing the word.

– Example: Sees and “exit” sign and leaves a store. – Example: Sees “Cheerios” on a shopping list, goes to cereal aisle and selects the box of Cheerios.

• Can be accomplished without learning to read.

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Functional Academics: Reading

• Learner sees words, letter combinations and can:

– Say sounds, blend sound combinations into words, forming signs that correspond to the word. – Saying, writing or typing or signing a response that suggests comprehension of what was read AND – Select or retrieve an item, activity, person or a picture or performing as activity that corresponds to these words which suggests an understanding of the words.

• Learner MUST be able to communicate by saying

words or forming signs

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Functional Academics: Schedules, Lists and Time

• Schedules and Lists:

– Helps learners participate in a sequence of events or activities – Make transitions from one event or activity to another – Retrieve items on shopping trips – Complete errands – Complete routine task in the absence of close supervision and with fewer instances of problem behavior

• Time:

– participates in activities or events on their scheduled dates and times

• Read a clock (digital or analog)
• Read a calendar

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Functional Academics: Math

• Counting: allows learners to complete many tasks of

daily living

– Retrieve 3 forks, make 2 sandwiches, putting 5 pieces of paper in the hole-puncher, putting 8 washers in a bag

• Measuring: measuring quantities, naming units

– ¾ cup of water in a recipe – 2 scoops of detergent

• Purchasing:

– Using debit card, “dollar up amount”, counting change

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Functional Academics: Writing and Typing

• Can help to expand communication repertoire

– Especially for people who do not communicate using words

• Writing OR typing OR Braille– does not have to be

more than one

• Includes skills like:

– Writing personal information – name, address, phone number – Phrases such as “sincerely” – Typing words on a shopping list – Writing answers to questions

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22 EFL Domains:

• 6. Tolerating Skills and Eggshells (T)
• Can the learner tolerate situations related to health and

safety?

– Prompts, medications, sitting in a wheelchair, protective equipment, someone washing your hands

• Can the learner tolerate other situations?

– Certain types of clothing, deodorant, criticism/feedback, doctor’s appointments, haircuts

• Difference between a “tolerating issue” and a “skill deficit”

– Tolerating – learner may be able to do it but does not do the skill – Skill deficit – learner does not know how to do it.

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EFL Domains: Problem Behavior

• If a student engages in problem behavior that interferes

with his/her ability to learn skills and increase independence, further analysis of the problem behavior should be done.

• Functional Behavioral Assessment
• Behavior Intervention Plans

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23 EFL Domains:

• 7. Tool Skills and Component Skills (MM, M, Im)
• Basic gross and fine motor skills
• Refers to some of the skills that are part of larger more

complex skills (daily living skills, functional academics)

• Motor Movements (MM)

– Touches items, grasps, holds items

• Matching (M)

– Matching identical items, match items to corresponding spot (cup to shelf in cabinet)

• Imitation (Im)

– Imitates motor movements- watches someone do something and can do it

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EFL in the School Setting

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EFL Quick Assessment

• If a learner has problem behavior or no identified

method of speaking, the quick assessment would be appropriate

• Generally takes 1-2 hours
• Can be done by interviewing one or more care takers or

instructors

• As a result, teaching and reduction of problem behavior

can begin immediately

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8 Important Skills Identified

• Also known as the Essential Eight
• These are absolutely necessary for a happy, fulfilling

and productive life!

• “Without these skills, children and adults with

disabilities will almost certainly exhibit forms of problem behavior, will have limited access to preferred items, activities, places and people and will have limited contact and interactions with the community in which they live. “ (McGreevy 2012)

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The Essential Eight

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Overview of the Quick Assessment

Spoken Words Alternate Methods of Speaking

• 1. Making Requests
• 2. Waiting
• 3. Accepting Removals, Making Transitions, Sharing and Taking Turns
• 4. Completing 10 Consecutive, Brief, Previously Acquired Tasks
• 5. Accepting “No”
• 6. Following Directions related to Health and safety
• 7. Completing Daily Living Skills Related to Health and Safety
• 8. Tolerating Situations Related to Health and Safety
• Matching
• Imitation
• Other Daily Living skills
• Tolerating other situations
• Naming and Describing
• Following Directions, Recognizing and Retrieving
• Answering Questions
• Problem Behavior

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Let’s further explore the sections of the Quick Assessment

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Quick Assessment Overview: Spoken Words

• Outlines 6 profiles of learners with moderate-to-severe

developmental disabilities based on the extent of their spoken-word repertoires

• Assists educators in determining whether to select

“saying words” as the learner’s primary method of speaking or to select an alternate method of speaking (AMS Assessment)

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Quick Assessment Overview: Alternative Method of Speaking

• An assessment within the EFL
• Focuses on selecting an alternate method of speaking

(communicating)

• Selecting of Alternate Method of speaking is based on
• ne or more of the following:

– the physical skills of the learner (gross and fine motor skills) – The size of audience for specific methods (sign vs device) – The ease with which specific methods can be implemented by instructors, care providers and parents OR – The potential for the teaching of advanced language

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Alternative Method of Speaking

www.amscompare.com

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Quick Assessment Overview:

• 1. Making Requests
• Requests allow the learner to respond as a speaker

and to access preferred items, activities, and people when they want or need them.

– Examples:

• Says “drink” when thirsty
• Signs “ Where is the bathroom?” when needs the bathroom
• Types “Can I have a ham and cheese sandwich?”

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Quick Assessment Overview:

• 2. Waiting
• After requesting a specific item, activity or person, the

learner is told to wait

– Can the learner wait without exhibiting problem behavior? – How long can they wait? – Will they accept an alternative?

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Quick Assessment Overview:

• 3. Accepting Removals, Making Transitions,

Sharing, and Taking Turns

• Is the learner able to do the following without engaging

in problem behavior:

– Accept removals of a preferred activity or item – Learner is directed to a new activity or item (transition) – Learner is directed to share a preferred item or take turns with a preferred activity

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Quick Assessment Overview:

• 4. Completing 10 Consecutive, Brief, Previously

Acquired Task

• Can the learner complete previously acquired tasks:

– Consecutively without engaging in problem behavior? – Consecutively without assistance or prompts – Requires the learner to follow directions and honor the request of others

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Quick Assessment Overview:

• 5. Accepting “No”
• Does the learner accept “no” after making a request for

a item, person or activity?

– Do they engage in problem behavior when told “no”? – Can they continue to participate in the current activity if told “no” to another activity?

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Quick Assessment Overview:

• 6. Following Directions Related to Health & Safety
• Does the student follow directions from others to

ensure safety both in school and in the community?

– “stay here”, “walk with me”, leaving the building in a firedrill

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Quick Assessment Overview

• 7. Completing Daily Living Skills Related to Health

& Safety

• Can the student complete daily living skills that have

an immediate impact on their health and safety

– Eating, drinking and feeding – Avoiding harmful items and substances – Weather clothing appropriate to weather conditions

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Quick Assessment Overview:

• 8. Tolerating Situations Related to Health and

Safety

• Can the learner tolerate different situations that have a

direct impact on their health and safety?

– Physical prompts, taking medication, adaptive equipment, protective equipment

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Quick Assessment Overview: Matching

• Matching items to items, photographs to items, items to

corresponding places, etc.

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Quick Assessment Overview: Imitation

• Imitate the motor movements of others

– Teaching a sign – can the student imitate your movements?

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Quick Assessment Overview: Other Daily Living Skills

• Can the student complete daily living skills? Can they

complete the skills independently?

– Includes everything OTHER than the must have skills

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Quick Assessment Overview: Tolerating Other Situations

• Can the student tolerate various situations

– Includes everything OTHER than the must have skills – Loud music, feedback from a teacher, not being first in line, a store is closed, public restrooms

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Quick Assessment Overview: Naming and Describing

• Can the student talk about (name and describe)

different parts of naturally and regularly occurring routines?

– Tacting items, activities, people in a routine

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Quick Assessment Overview: Follow Directions, Recognizing and Retrieving

• Can the student follow directions to do something in a

naturally and regularly occurring routine

– Recognizing, retrieving, relocating

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Quick Assessment Overview: Answering Questions

• Can the student answer questions before, during or

after naturally and regularly occurring routine?

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Quick Assessment Overview:

Problem Behavior

• In general, what level of problem behavior does the

student exhibit?

– Frequent vs infrequent, disruptive vs dangerous

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Assessment

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Conducting the Assessment

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Conducting the Assessment

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What should be assessed?

• Entire Quick Assessment
• Includes Essential 8
• Functional Academics (Domain 5)

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Conducting the Assessment

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Step 1: Select and circle the score (1-4) that best fits the learner and fill in the corresponding box

• n the chart at the

top of the assessment.

Conducting the Assessment

Step 2:

Each score has corresponding goals. Begin making a list of these goals on a separate piece of paper.

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Conducting the Assessment

Step 3

–Repeat this process for ALL the skill areas on the Quick Assessment

AND

–Assess skills in the Functional Academics domain –By the end of this process, you should have a list of goals that will need to be further assessed.

• Consider this your “starting goal bank”

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Assessment Area Score Pote tenti tial Goals

• 1. Making Requests

2 R 1-5, R6, R 7- 8, R9

• 2. Waiting

2 R9

• 3. Accepting

Removals, Making Transitions, Sharing and Taking Turns 3 R 10, R 12-13

• 4. Completing 10

Consecutive, Brief, Previously Acquired Tasks 2 R11

• 5. Accepting “No”

1 R 15-16

• 6. Following Directions

related to Health and safety 2 LR 1-11

• 7. Completing Daily

Living Skills Related to Health and Safety 2 DLS -EDF 1-9, SLP 1-2, MT 1-5, AHS, 1-15, HS 1-8

• 8. Tolerating

Situations Related to Health and Safety 2 T -BHI 1-5, EDF 1-11, DMI 1- 9, Slp 1-5, Toil 1- 5, PRM 1-6, PTA 1-11, PEMR 1-10

Assessment Area Score Pote tentia tial l Goal als

Matching 1 M1 Imitation 2 Im 1-2 Other Daily Living skills 1 DLS - ________ Tolerating other situations 2 T - __________ Naming and Describing 1 LRND 1-3.1, 1-3.2, 1-3.3 Following Directions, recognizing and retrieving 1 LR 1-11, LR12-17, LRND 1-3.1, 1-3.2, 1-3.3 Answering Questions 2 AQ 1-3.1, 1-3.2, 1- 3.3 Problem Behavior 1 10 Responding to Text as a listener RTL 2 Reading RTL 1 Schedules, Lists and Time SLT 6 SLT 9 Math Mth 4 Writing/Typing WT 1

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So we’ve finished the assessment…

Next?

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Goal Selection

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Goal Selection

• Begin to look at the specific goals you have written down. The letters

in the goal representing the domain. For example, R1 = Requesting goal #1.

• Using the goals you have written down, flip to the corresponding

domain to select the most appropriate goals.

• Look through the goals and select at least one goal to target.
• At least one goal per domain should be selected.

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Goal Selection

Important things to keep in mind when selecting goals:

• What goals are appropriate to teach in school? It may not be appropriate

to teach Sleeping (SLP) goals in the academic setting.

• Will teaching the learner this goal impact their life in socially significant

ways? Will this goal help my learner to become more independent?

• Are there physical limitations that may prevent a learner from being able

to complete a skill?

• How do I teach this skill using the learner’s alternate method of

communication (as applicable)? What resources might I need to teach it?

• How do I plan on writing this goal into the IEP?

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How Are Skills Measured?

• Presence or absence of problem behavior
• Presence or absence of resistance to prompts
• Presence or absence of inappropriate responses
• The extent to which prompts are required or hesitation occurs
• The extent to which permanent, partial assistance is needed
• The extent to which environmental adaptation or prosthetic device is

required

• Additional situations in which the skill occurs
• Any deterioration in performance after skill acquisition

Specific to Problem Behavior

• Protective equipment or mechanical restraint
• Crisis stabilization procedures
• Psychotropic medications
• Self-restraint

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R9 – Waits after making requests for each of the items and activities in R7 and R8 for gradually increasing periods of time

• 1. Cookies

IA IM 1S 2s 5s 10s

1m 2m 5m

10m 20m Det

• 2. Soda

IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

• 3. Ice cream

IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

4. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

5. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

6. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

7. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

8. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

9 IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det

10. IA IM 1s 2s 5s 10s

1m 2m 5m

10m 20m Det Key: IA: Initial Assessment; IM: Instruction has begun; 1s: for 1 sec; 2s: for 2 sec; 5s: for 5 sec; 10s: for 10 sec; 1m: for 1 minute; 2m: for 2 minutes; 5m: for 5 minutes; 10m: for 10 minutes; 20m: for 20 minutes; Det: “waiting” is no longer occurring consistently

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Completing the Assessment

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• http://www.essentialforliving.com/efl/how-to-use-efl-videos/

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Updates

Initial Assessment Date Color Code Symbol Code Year 1 Jan 1, 2013- Dec 31, 2013 Year 2 Jan 1, 2014 – Dec 31, 2014 X Year 3 Jan 1, 2015 – Dec 31, 2015 +

• Updates are usually not very often – sometimes yearly
• Skills are considered mastered when they occur in at least one

appropriate situation without prompts and without hesitation.

• An initial assessment my require several weeks to administer

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Summary Score Sheets

• Each category has a summary score sheet, where you can

view progress across all skills in that category:

– Must Have – Should Have – Good to Have – Nice to Have

• Summary of Learners Assessment and Subsequent

Progress

• This allows you to easily see progress over

time in a visual display – just like you can on the ABLLS-R or VB-MAPP.

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Example - Page 17 of the EFL handbook Blank – Page 3 of EFL record of progress

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So we’ve finished the assessment and have selected goals…

Next?

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IEP Development and Revision

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IEP Development: How to write EFL goals into IEP’s

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Writing IEP goals

• Goals targeted in the IEP should be based on IEP

assessment.

– Should address specific skill deficits in the learner’s skill repetoire

• Goals should be specific enough so that they can be

accomplished but broad enough so that you can add benchmarks.

• Goals are functional

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93 EFL Goal IEP Goal Benchmarks IEP section R1 – R7

Student will use modified sign language as determined by her Alternate Method of Speaking Assessment to request at least 15 preferred items

Nov: sign for 5 items March: sign for 10 items June: sign for 15 items

Study skills, daily living, ELA LR 5

Student will follow 3 verbal direction to stand up, sit down, come here when directed to do so

Nov: master 1 verbal direction March: master 2 verbal directions June: master 3 verbal directions

Transition, study skills LR 6

Student will move from 1 location to another when directed to do so without prompting.

Nov: prompting 50% of the time March: prompting 20% of the time June: no prompts

Transition, Study Skills DLS-EDF 23

Student will independently self feed using a fork

Nov: 50% of the time March: 75% of the time June: 100% of the time

Daily Living DLS-EDF 18

Student will independently wipe her mouth and hands with a napkin after eating

Nov: 50% of the time March: 75% of the time June: 100% of the time

Daily Living T-BPH 1

Student will tolerate someone washing her hands by not engaging in problem behavior during hand washing procedure

Nov: 50% of the time w/o PB March: 75% of the time w/o PB June: 100% of the time w/o PB

Daily Living, behavior T-DD1

Student will tolerate someone brushing her teeth by not engaging in problem behavior during the teeth- brushing procedure

Nov: 50% of the time w/o PB March: 75% of the time w/o PB June: 100% of the time w/o PB

Daily Living. behavior M1

Student will match identical items to complete an activity

Nov: match 5 identical items March: match 10 identical items June: match 15 identical items

ELA, Math, Study skills LRND 1

When given directions to retrieve or locate a specific item related to functional daily living skills, the student will do so for at least 15 items

Nov: retrieve/locate 5 items March: retrieve/locate 10 items June: retrieve/locate 15 items

ELA, Math, Transition, Study skills SLT 1

Student will follow events of the day using a personal daily picture schedule

Nov: with prompts 50% of time March: with prompts 20% of time June: no prompts

ELA Mth 1

Student will count a specific number of items from 1- 10 using a counting jig

Nov: with prompts 50% of time March: with prompts 20% of time June: no prompts

Math

Example

• EFL Goal:

– R1 – R7

• IEP Goal:

– Student will use modified sign language as determined by her Alternate Method of Speaking Assessment to request at least 15 preferred items

• Benchmarks

– Nov: sign for 5 items – March: sign for 10 items – June: sign for 15 items

• Section of the IEP

– Study skills, daily living, ELA

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By now we have:

• Completed the

Quick Assessment

• Identified goals to

be taught (from Quick Assessment and Functional Academics)

• Written goals into

IEP (goals and benchmarks)

Now what?

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IEP Development and Revision

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Program Set-up and Data Collection Procedures

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Types of Data Forms

• Daily (or weekly) data
• Manding/Requesting Data sheet
• Skills Tracking
• Probe Data Sheet
• Task Analyses

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Data Collection Forms: Daily/Weekly Data

99 100

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Data Collection Forms: Manding/Requesting

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Data Collection Forms: Skills Tracking

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52 Data Collection Forms: Probe Data Sheets

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• This data sheet is used to collect the prompt level used when teaching a student a

particular skill. This data form is typically used to record the prompt level needed to teach a skill that does not involve a large amount of steps

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53 Data Collection Forms: Task Analyses

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• Used to collect the prompt level needed for a student to complete each

step of a more complex skill.

• Allows you to discuss the overall progress in completing a certain skill.

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Program Book and Materials Set-Up

Materials Needed:

• Binders (1- 2” binder per student)
• Dividers (at least 1 pack per student)
• Clipboards (1 per student)

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Program Set-Up: Binders

• Binders should be divided into the following sections:

– IEP – Assessment (Quick Assessment and AMS) – Making Requests – Listener Responses – Daily Living Skills – Events – Functional Academics

• May be broken into smaller sections

– Tolerating – Problem Behavior – Toileting – Daily Data

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For each section you will have a: skills tracking sheet AND Probe data sheet AND/OR Task Analyses

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Program Set-Up: Clipboards

• Components of Clipboards

– Clipboards should be use to hold “everyday” forms or data forms you need access to often – Example:

• Daily Data Sheet
• Manding/requesting data forms
• ABC Data (problem behavior)
• Toileting Data

109 110

By now we have:

• Completed the Quick

Assessment

• Identified goals to be

taught (from Quick Assessment and Functional Academics)

• Written goals into IEP

(goals and benchmarks)

• Developed a

daily/weekly data

• Made a binder and

clipboard for each student

• Have data sheets in

each section with the current goals and targets

What’s Next?

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Teach and Take Data

Implementing, Teaching and Collecting Data

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Teaching the skills

CONTEXT IS EVERYTHING!!!!!

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Teaching the skills: A look back at the weekly data form…

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When will you teach this skill?

• In the morning when he comes into school – arrival/unpack

What is the target for the skill?

• Walking from bus into building, from locker into class, from one part of

class to another

How will you teach it?

• Tell Ricky, “Go to _________” only tell him once, if he does not respond,

physically prompt him to comply. Record data

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Teaching the Skills: Events A Look back at the weekly data form….

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When will you teach this skill?

• Homeroom/Breakfast

What is the target for the skill? (Hint: there is 3!)

• 1. Requesting: “Spoon”
• 2. Recognizing: “Spoon”
• 3. Retrieve/Relocating: “Spoon”

How do you teach it?

• Request: Give Ricky cereal with no spoon; he requests spoon on iPad
• Rec, ret/rel: Tell Ricky “Please get a spoon (rec, ret) and bring it to

“Bobby” (rel)

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What’s Next?

We’ve completed each step in the process…

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Restart the process!

Questions?

Annie Culianos aculianoscarboneclinic@gmail.com

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References

• McGreevy, P., Fry, T., & Cornwall, C. (2012). Essential

for Living. Orlando: McGreevy

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